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lasted three weeks, when they dried up, scaled off and disappeared, and during this time all the other symptoms went off.
Prover No. 36. grain for three successive nights. - On third day increased feeling of warmth over the whole body ; itching on the inner surfaces of the thighs and genitals, where the pustules, caused by the ant. sul. aur., had been.
Prover No. 6. After several doses of oth dil. — Tingling and itching over face, thighs and hips, causing him to scratch.
Poisoning No. b. Exposure to vapor of ant. — Anorexia, pain in bowels, with diarrhoea and a pustular eruption, first on the throat, very thick, then on the body, and very severe on the genitals.
Poisoning No.c. Exposure to vapor of ant. — Pustular eruption confined to the throat. The pustular eruption again appeared on neck and arms, less on the body, but on genitals to such an extent he could not walk.
Poisoning No. d. Exposure to vapor of ant. — Painful swelling of the cervical glands, pustular eruption in the bend of the joints of the upper extremities, but especially on the abdomen and genitals.
Poisoning No. 2. Large spoonful of tincture. - - Pustules on the fauces, and maculæ, and a red exanthem over whole body, with delirium.
Poisoning No. 3._ Case of pneumonia treated with 20-40 grs. antimony oxide. — There appeared on the fourth day an eruption of small pimples, similar in their confluence to those I have had occasion to observe on the genitals as a consequence of the external use of tartar emetic.
Experiments on animals. Several grains to a young dog. Belly appeared unusually warm, and on the hypogastrium toward genitals several discrete pustules which forms scabs; they came and went off gradually.
This remedy is evidently homeopathic to eczema pustulosum, especially when occurring about the genitals. The consensus among the provers as regards location is especially well marked.
ANTIMONIUM TARTARICUM. Prover No. 2. Dose not given. - In evening, in bed, on right side itching and gnawing so that he must scratch.
Prover No. 3. – Some fingers get dark yellow spots of large size, which last two days. Then occur on hands some small red spots, like fleabites, without pain, and go off after two hours.
Prover No 10. 8 grains. - Excessive and constant perspiration. Prover No. 17 c. 5 to 7 grain rubbed on.
5 to 7 grain rubbed on. — Three days later a rash, with considerable itching, over the whole skin, which did not subside for two days longer.
Poisoning No. 3. 4 grains for fifteen days. — His breast, the anterior surface of the upper arms, the wrists, the hypogastrium and the inner surface of the thighs, were thickly covered with an eruption of bright red, small conical, distinct, hard pimples, with an inflamed base, like lichen simplex. The itching from this was intolerable, irritating him at times almost to frenzy. This began to appear on the fifth day of the use of the drug, and did not appreciably abate until three days after its discontinuance.
Poisoning No. 9. 10 grains. The most careful examination failed to discover any traces of pustular development.
The soft palate and throat were likewise of a deep red, and covered with small vesicles, many of which had burst.
Poisoning No. 15. Applied to skin as an ointment. — It causes an eruption of painful pustules, resembling those of variola, or ecthyma. The smaller ones are semi-globular, the larger ones, when at their height, are flattened and surrounded with an inflammatory border, contain a pseudo-membranous deposit and some purulent deposit, and have a dark central point.
When they have attained their greatest magnitude the central spot becomes larger and darker, and in a few days dessication takes place and the crusts are thrown off. They are usually very painful. I am acquainted with no agent which produces an eruption precisely like that caused by tartar emet. (Pereira).
Poisoning No. 16. — The clear lymph of the pustules which arise from the external application of tartar emet. produces inoculation pustules which are quite indistinguishable from those produced from vaccination.
I have made thirty-one vaccinations and re-vaccinations with lymph of tartar emet. pustules, and I have found them, in all their relations, analogous to those from cow-pox lymph (Lichtenstein).
Poisoning No. 17. Di during two weeks: -- Some days after leaving off the medicine there appeared a varioloid eruption, which ran a course exactly like that produced by tartar emet. ointment.
Poisoning No. 18. 10 grains during thirty-six hours. - In twenty-four hours after the last dose there appeared an eruption having a most perfect likeness to that caused by tartar emet. ointment. It consisted of small papulæ, or vesicles, which rapidly enlarged and became full of pus, surrounded by a red areola, so that they resembled true variolous pustules; they were besides extremely painful. After a few days they dried up and formed crusts. Some of the pustules were larger than others,
like those of ecthyma. Eruption commenced on inner surface of the forearm, then spread all over the back, when pustules were partly solitary, partly grouped, and were confluent. Neither vomiting nor sweat attended formation of pustules, but they were preceded by some watery stools.
Poisoning No. 19. grain every three hours for six days. - The body was so covered with pustules that the friends of the patient mistook the eruption for small-pox.
Cases 20, 21, 22 mention similar eruptions, occurring from the internal administration as occur from the external application, in each case identical with those already described.
Poisoning No. 23. — Dr. Imbert-Gourbeyre, in a paper on "Antimonial Eruptions,” shows, by observation and citations, that the local application of tartar emet. is liable to produce pustules on other parts of the body, and especially at the anogenital region, and maintains that these are the results of absorption and not the effect of mere mechanical transference, on the following grounds :
(See Cyclopædia Drug Pathogenesy, page 303.)
From the foregoing it is evident why tartar emet, has so long enjoyed the reputation of being almost a specific in the eruption of variola and varioloid. It is equally homeopathic to ecthyma. The locating of the pustules on an inflamed base, and the tendency to their remaining discrete, being especial points of similarity. I have also found it of great service in that condition of erythema multiforme which not uncommonly follows vaccination.
SUMMARY OF THE EXPERIENCES OF FIFTY PHYSICIANS IN
THE RECENT EPIDEMIC OF LA GRIPPE.
BY F. P. BATCHELDER, M. D., BOSTON.
[Read before the Boston Homeopathic Medical Society.] At the request of the President of the Boston Homeopathic Medical Society, a list of questions relating to the late epidemic of la grippe has been sent to the members of the society, chiefly, and about fifty replies have been returned.
We desire to extend our thanks to all who so kindly responded. The three States, Massachusetts, Rhode Island and Connecticut, comprise the area from which replies have come.
The questions and accompanying answers will be given in the order found on the circulars.
Question I. From your observation in practice, what has been the relative prevalence of this epidemic compared with that two years ago ?
Twenty physicians report the prevalence of this epidemic as much less; five of them stated that they had had from fifty to seventy-five per cent. as many cases as two years ago. Six report about the same number of cases as in 1889–90. Seventeen note a greater prevalence this time; two stating that they have had double the number of cases, often meeting with whole families suddenly invaded.
From the above it would seem that inland towns have suffered more this year than those along the coast; although this conclusion can only be an approximate one.
Question II. What the relative severity of sickness?
Four report cases about as severe as two years ago, and fourteen report cases as much more severe.
In addition to these, one says, “Less violent, but more obstinate;” another, “Not severe except if sequela develop; others, “less severe in the middle-aged, more so in the old and feeble ;” “The rheumatic type is less severe, pulmonary affections about as two years ago, gastric disturbances more marked this year.”
Question III. State the relative fatality ?
In eighteen replies no deaths from the disease per se are recorded. Three report a fatality equal to that of previous epidemic, and five say “less."
The following from a Lynn physician is worthy of notice: “Deaths in Lynn during 1890 numbered 1045 ; only three of these were said to be from la grippe. Deaths in 1891 were 1049, with three attributed to la grippe.”
One physician reports a death from "heart failure; another several deaths in each epidemic, in cases where organic heart disease pre-existed. Three report a few deaths in the extremes of life, or in cases of previously existing chronic disease. Five report a greater fatality among the aged.
We are led to think, from the reports, that deaths have occurred only in cases where complications were present, and that there has been on the whole a smaller fatality in such cases.
Question IV. What have been the most prominent symptoms in this epidemic?
The following .gives a “bird's-eye view” of answers to the above :
“Fever for three or four days; pain all over the body for two or three days; marked weakness, long-lasting; a rattling, loosesounding, obstinate cough, without much expectoration, for one or two weeks. In three cases vomiting and diarrhoea seemed to take the place of the cough. Have seen much less of the head
ache this year. Pharyngeal catarrh has been very prevalent, but very often is independent of the epidemic."
“Sudden accession of fever, sometimes accompanied with chill; pain in the head; muscular soreness ; extreme prostration; sometimes vomiting, and usually anorexia. Not infrequently bronchitis, and sometimes pneumonia supervenes.”
“Chills, followed by fever and violent headache in frontal and occipital regions; pain in the lumbar region, and in flexions of the knees; nausea and vomiting in some cases; congestion of the conjunctiva, and spotted appearance of the face; running at the nose ; bronchial cough ; frequently diarrhæa ; thirst in all cases; insomnia, in one case excessive, patient did not sleep for three nights, and went down stairs obtained the carving knife and threatened to take his own life.”
“Repeated small chills, more or less alternating with heat; headache, often associated with dizziness; aching bones of extremities and back ; moderate rise of temperature and pulse for the first day or two; cough, often of a very distressing character, from disposition to spasm of the larynx, producing strangling; considerable expectoration, even in those who almost never had expectorated before. More characteristic than all, a peculiar bluish-white coated tongue after first twenty-four or thirty-six hours, which, soon coming off, leaves the tongue rather dark red and smooth, but not markedly dry; foul taste."
A peculiar feature of the patient's temperature was noticed and mentioned by one physician :
“Have observed in many cases, and believe it a most characteristic symptom, at the onset of the disease, the temperature is from 1° to 2° subnormal; then a high temperature, but not so high as the severity of pain, etc., would lead one to expect ; this followed by a subnormal temperature, lasting from one to five days."
The above was largely due to the fact that frequently several in the same family would be successively attacked, consequently observations like those mentioned were possible.
The range of elevated temperature has been from 100° to 105°, generally not above 103° Pulse from 80 to 130.
Very few indeed make any mention of the presence of coryza, and in the majority of cases, in its stead, the obstinate dry brochial cough, etc., have been noticed. In a few cases reported gastro-intestinal disturbances, sometimes simulating cholera morbus, seemed to take the place of the bronchial catarrh. All concede the protracted prostration, often with total loss of appetite, one of the most characteristic symptoms. Only two cases have been noted where there was any tendency to delirium or insanity, and in but one of these, already alluded to, was a suicidal tendency observed.